Canine Dirofilariasis: A Case Report and Review of the Literature

"Slow kill" treatment reduces DNA damage in leukocytes of dogs naturally infected with Dirofilaria immitis

Parasitic diseases are considered to be a cause of oxidative stress which leads to oxidative damage of various molecules including DNA. This can result in mutations, replication errors, and genome instability. Therefore, aim of this study was to measure DNA damage induced by Dirofilaria immitis in the single cells such as dogs' leukocytes using the comet assay. Also, we monitored the effects of antiparasitic treatment on mitigation of sensitivity to DNA damage in leukocytes treated with H2O2 using the in vivo and ex vivo comet assay. The whole blood samples from 34 dogs from Serbia were used, both males and females, from one to 13 years old, both pure and mixed-breeds. A rapid immunochromatographic test (Antigen Rapid Heartworm Ag 2.0 Test Kit, Bionote, Minnesota, USA) was used for the detection of D. immitis antigens. The modified Knott's test and PCR were used in the aim of detecting D. immitis microfilariae in dogs' blood, and evaluating the number of circulating microfilariae during the treatment. The genotoxicity evaluation showed that D. immitis infection resulted in DNA damage in naturally infected dogs, with the highest DNA damage occurring in the group of dogs with severe clinical signs. Treatment with ivermectin and doxycycline decreased DNA damage in leukocytes of dogs in all groups, as the intensity of infection decreased due to applied therapy. Ex vivo comet assay results showed that leukocytes exhibited decreased sensitivity to H2O2-induced DNA damage during treatment. The results of the modified Knott's test and PCR in our study showed that treatment with ivermectin and doxycycline was successful in decreasing the average number of microfilariae during the time and at the end eliminating them from the dogs' blood.

Differential diagnosis of Dirofilaria immitis nematodes (Nematoda, Onchocercidae)

Heartworm disease is a widespread anthropozoonotic disease of carnivorous animals, as well as humans. It is caused by nematodes belonging to the suborder Filariata, family Onchocercidae, genus Dirofilaria. There are about 26 species of heartworms in nature, the most common and pathogenic species in dogs and cats in most countries is Dirofilaria immitis Leidy, 1856. Mature helminths parasitize in the right ventricle and pulmonary arteries, large veins of animals and cause heart and vascular disorders, and death. Therefore, the aim of the study was to investigate the features of morphological and metric structure of adult nematodes of D. immitis isolated from the heart of dogs. Morphological studies have shown that in males the most characteristic differential features are the presence of two unequal spicules, specifically positioned relative to each other, as well as well-defined preanal and less pronounced adanal and postanal papillae. In female heartworms, the characteristic morphological features are the shape and location of the vulva. There is a difference in the structure of the esophagus in males and females. In females, the anterior and posterior parts of the esophagus are well expressed, with enlargements, in males these divisions are not pronounced. To increase the efficiency of species identification of D. immitis nematodes, it is proposed to use metric parameters that characterize the overall body size, body and width of esophagus in different areas, length of esophagus, and the location of the nerve ring. In males, 11 indicators are also suggested that characterize the size of the spicules and the location of the cloaca. In females, seven additional parameters are pointed out that characterize the location of the vulva, anus and body width in these areas. The obtained data expand the already existing data on the peculiarities of the morphological structure of parasitic nematodes of the species D. immitis and their identification.